| NPI | 1992557573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 253J00000X Foster Care Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-04-01 |